SHAWNA NIKIA VERDUN PA NPI 1891784914

NPI Information

NPI: 1891784914
Provider Name: SHAWNA NIKIA VERDUN, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
7777 HENNESSY BLVD
SUITE 211
BATON ROUGE, LA
ZIP 70808
Phone: (225) 765-7163
Get Directions

Shawna Nikia Verdun, PA is a surgical physician assistant in Baton Rouge, LA. Shawna Nikia Verdun, PA NPI is 1891784914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7777 HENNESSY BLVD
SUITE 211
BATON ROUGE, LA
ZIP 70808-300
Phone: (225) 765-7163
Fax: (225) 765-7164

The NPI 1891784914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2005 and was last updated on 12/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA.200050	LOUISIANA	No
2	363AM0700X	Physician Assistant	Medical	200050	LOUISIANA	No
3	363AS0400X	Physician Assistant	Surgical	146	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1355615	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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